Shoreline Pastoral Counseling LLC
Counselor in Guilford, CT. Organization (NPI-2).
NPI number1497401673
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1497401673
- Entity type
- Organization (NPI-2)
- Legal business name
- Shoreline Pastoral Counseling LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2022
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
35 Boston StGuilford, CT 06437-2817
Phone 860-301-6600
Mailing address
16 Sperry RdMadison, CT 06443-1737
Phone 860-301-6600
Authorized official
Edward Cornell
Provider
8603016600
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